Summary
Nine cases of patients in whom intracranial infection was suspected after operation are presented. Lesions with ring enhancement were seen in all of these patients. The differentiation of enhancement, seen as a normal postoperative phenomenon, from residual neoplasia and cerebral abscess can be difficult. This can be resolved by serial and sequential-delayed CT, and thus unnecessary re-exploration may be prevented.
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Ambrose, J.: Computerized transverse axial scanning (tomography) Part 2: Clinical application. Br. J. Rad. 46, 1023–1047 (1973)
New, P. F. J., Scott, W. R., Schnur, J. A., Davis, K. R., Taveras, J. M.: Computerized axial tomography with the EMI scanner. Radiology 110–119 (1974)
New, P. F. J., Scott, W. R.: Computed tomography of the brain and orbit (EMI scanning). Baltimore: Williams and Wilkins 1975
Wortzman, G. J.: Computerized transaxial tomography: its role in the post-operative tumor case. Can. J. Neurol. Sci. 3, 51–58 (1976)
Carey, M. E., Chou, S. N., French, L. A.: Experience with brain abscess. J. Neurosurg. 36, 1–9 (1972)
Bellar, A. J., Sahar, A., Praiss, I.: Brain abscess: a review of 89 cases over a period of 30 years. J. Neurol. Neurosurg. Psychiat. 36, 757–768 (1971)
Claveria, L. E., Du Boulay, G. H., Mosely, I. F.: Intracranial Infection: investigation by computer tomography. Neuroradiology 12, 59–71 (1976)
E. Kazner: Effects of computerized axial tomography on the treatment of cerebral abscess. Neuroradiology 12, 57–58 (1976)
Rao, Krishna C. V. G., Williams, P. J.: C. T. scan of brain tumors: effects of steroids chemotherapy and radiation therapy. Neuroradiology 12, 55 (1976)
Lin, J. P., Pay, N., Naidich, T. P., Kricheff, I. I., Wiggle, U.: Computed tomography in the postoperative care of neurosurgical patients. Neuroradiology 12, 185–189 (1977)
Taveras, J. M., Wood, E. H.: Diagnostic radiolgy, 2nd Edition p. 1021. Baltimore: Williams and Wilkins 1976
Norman, D., Stevens, E. A., Wing, D., Levine, V., Newton, T. H.: Quantitative aspects of contrast enhancement in cranial computed tomography. Radiology 129, 683–688 (1978)
Zimmerman, R. D., Leeds, N. E., Naidich, T. P.: Ringblush associated with intracerebral hematoma. Radiology 122, 707–711 (1977)
Laster, W. D., Moody, D. M., Marshall, R. B.: Resolving intracerebral hematoma: alteration of the ring sign with steroids. Am. J. Roentgenol. 130, 935–939 (1978)
Dolinskas, C. A., Bilaniuk, L. T., Zimmerman, R. A., Kuhl, D. E., Abass, A.: Computed tomography of intracerebral hematoma. 11. Radionuclide and transmission C. T. studies of the perihematoma region. Am. J. Roentgenol. 129, 689–692 (1977)
Messina, A. V.: Computed tomography: contrast enhancement in resolving intracerebral hemorrhage. Am. J. Roentgenol. 127, 1050–1052 (1976)
Rosenblum, M. L.: Decreased mortality from brain abscess since advent of computerized tomography. J. Neurosurg. 49, 1043–1047 (1978)
Moussa, A. H.: Computed tomography and mortality rate in brain abscess. Surg. Neurol. 10, 301–304 (1978)
DiChiro, G., Rimins, E. L., Jones, A. E., Johnston, G. S., Hammock, M. K., Swann, S. J.: Radionuclide scanning and microangiography of evolving and completed brain infarction: correlative studies in monkeys. Neurology (Minneap.) 24, 418–423 (1974)
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Rao, C.V.G.K., Kishore, P.R.S., Bartlett, J. et al. Computed tomography in the postoperative patient. Neuroradiology 19, 257–263 (1980). https://doi.org/10.1007/BF00347805
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DOI: https://doi.org/10.1007/BF00347805